- Centene Corporation (Sacramento, CA)
- …organization offering competitive benefits including a fresh perspective on workplace flexibility. ** Concurrent Review Nurse - Remote (California Market | ... Health Net)** Centene is seeking a **Remote Concurrent Review Nurse ** to support...and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be… more
- LifePoint Health (Louisburg, NC)
- … field * **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator* **Location:** *NC-Louisburg* **Requisition ... Registered Nurse (RN) Utilization Review Job Type:...necessity and appropriateness of all hospital admissions. - Conducting concurrent reviews of patients to confirm that any extended… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance ... authorization per contracts for medically appropriate level of care. Manages concurrent clinical denials through completion of verbal reconsideration process. Works… more
- Centene Corporation (Sacramento, CA)
- …providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate determinations + ... Licensing Highly Preferred **Position Purpose:** Performs a clinical retrospective review of services previously provided to determine if the...and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be… more
- Prime Healthcare (Mount Prospect, IL)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... post-graduation of an accredited school of nursing and a current state Registered Nurse license 2. Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- NJM Insurance (Trenton, NJ)
- …care nursing experience (Med-Surg or Critical Care preferred), Utilization Management Review /Hospital concurrent reviews, and/or Workers' Comp Case Management + ... regulatory, licensing requirements, and NJM policies/guidelines that affect utilization review , case management, and medical management. + Attend on-site visits… more
- Actalent (Sunrise, FL)
- …+ Medicare + Managed care + Patient care + Medical record + Case management + Concurrent review + Discharge planning + Medical + Acute care Additional Skills & ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...cases, develops internal processes, and educates physicians on utilization review issues. The role involves managing continuity of care,… more
- Sacramento County (Sacramento, CA)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply Nurse Practitioner Salary $127,576.80 - $155,096.64 ... pm on: 3/28/2025, 4/25/2025, 5/23/2025, 6/20/2025, 7/25/2025, 8/22/2025, 9/26/2025, 10/24/2025 Nurse Practitioners provide a range of health care services involving… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse D/CF Salary ... 5:00 pm on: 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory class in… more
- Sacramento County (Sacramento, CA)
- Supervising Public Health Nurse Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply Supervising Public Health Nurse Salary ... the operations, program, and personnel of a public health field office staffed by professional nurses, health workers and...One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two years of… more